Provider Demographics
NPI:1588950935
Name:FITZGIBBONS, SARAH (LPC, MT-BC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:FITZGIBBONS
Suffix:
Gender:F
Credentials:LPC, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5085 MEADE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-1033
Mailing Address - Country:US
Mailing Address - Phone:720-219-7282
Mailing Address - Fax:
Practice Address - Street 1:2640 W 28TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-4171
Practice Address - Country:US
Practice Address - Phone:720-219-7282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC-4705101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional